• Güler Duru Aşiret Faculty of Health Sciences, Nursing Department, Aksaray University, Aksaray, Turkey
  • Havva Yiğit Aksaray University Training and Research Hospital, Aksaray, Turkey



Elderly, Adaptation, Quality of life, Nursing


The changes that occur with age affect the older people’s quality of life. This study aimed at determining the effect of older people’s adaptation to old age on their health-related quality of life. This descriptive study was conducted with 250 older people that applied to the outpatient clinics of the Research and Training Hospital of Aksaray University between the dates of 15 January and 15 June 2017. The study data were collected by using an introductory information form, “Assessment Scale of Adaptation Difficulty for the Elderly (ASADE)” and “Nottingham Health Profile (NHP)”. The study data were assessed by using descriptive statistical methods, Mann Whitney U, Kruskal Wallis, Spearman Correlation Test and multilinear regression model. This study found that older people’s adaptation to old age and their health-related quality of life were at a good level. As their score from ASADE increased, their score from NHP increased (r=0.742, p<0.001). In addition, adaptation to old age, gender and expressed health status had a statistically significant on the quality of life (p<0.005). We suggest that the health personnel assess adaptation to old age, which is one of the factors affecting the quality of life, and increase the quality of life by conducting interventions to increase the adaptation to old age.


Carta, M. G., Aguglia, E., Caraci, F., Dell'Osso, L., Di Sciascio, G., Drago, F., Del Giudice, E., Faravelli, C., Hardoy, M. C., Lecca ME, et al. (2012). Quality of life and urban / rural living: preliminary results of a community survey in Italy. Clin Pract Epidemiol Ment Health, 8(1): 169-174.

Chen, Y., Hicks, A., While, A. E. (2014). Quality of life and related factors: a questionnaire survey of older people living alone in Mainland China. Qual Life Res, 23(5): 1593-1602.

Demir, G., Erbesler, Z. A. (2017). Qualıty of life and factors assocıated with it in elderly women with urınary ıncontinence. Turk J Gerıatr, 20(3): 213-222.

Gencer, M. Z., Arica, S. (2017). Use of polypharmacy and herbal medication on quality of life in elderly patients at okmeydani hospital's polyclinics in Istanbul, Turkey. J Pak Med Assoc, 67(6): 895-900.

Gökulu, G., Uluocak, Ş., Aslan, C., Bilir, O. (2014). The factors affecting the quality of life among 65 years or older individuals living in the city center of Çanakkale. The Journal of International Social Research, 34(7): 666-677.

Hajek, A., Brettschneider, C., Lange, C., Posselt, T., Wiese, B., Steinmann, S., Weyerer, S., Werle, J., Pentzek, M., Fuchs A., et al. (2016). Gender differences in the effect of social support on health-related quality of life: results of a population-based prospective cohort study in old age in Germany. Qual Life Res, 25(5): 1159-1168.

İlhan, N., Arpacı, S., Havaoğlu, D., Kalyoncuoğlu, H., Sarı, P. (2016). Quality of life and factors affecting the quality of life of elderly nursing home residents. Clin Exp Health Sci, 6(2): 56-65.

Jeste, D. V., Depp, C. A., Vahia, I. V. (2010). Successful cognitive and emotional aging. World Psychiatry, 9(2): 78-84.

Jopp, D., Rott, C., Oswalt, F. (2008). Valuation of life in old and very old age the role of sociodemographic, social, and health resources for positive adaptation. Gerontologist, 48(5): 646-658.

Kurt, G., Beyaztaş, F. Y., Erkol, Z. (2010). The problems of aged people and the life satisfaction. Turkish Journal of Forensic Medicine, 24(2): 32-39.

Küçükdeveci, A. A., McKenna, S. P., Kutlay, S., Gürsel, Y., Whalley, D., Arasil, T. (2000). The development and psychometric assessment of the Turkish Version of the Nottingham Health Profile. Int J Rehabil Res, 23(1): 31-38.

Lyu, W., Wolinsky, F. D. (2017). The onset of ADL difficulties and changes in health-related quality of life. Health Qual Life Outcomes, 15(217): 1-30.

Michalos, A. C., Zumbo, B. D., Hubley, A. (2000). Health and the quality of life. Soc Indic Res, 51(3), 245-286.

Smedema, S. M., Ebener, D. (2010). Substance abuse and psychosocial adaptation to physical disability: analysis of the literature and future directions. Disabil Rehabil, 32(16): 1311-13119.

Softa, H. K., Karaahmetoğlu, G. U., Erdoğan, O., Yavuz, S. (2015). A research on the factors affecting the level of life satisfaction of the elderly people. Elderly Issues Research Journal, 8(1): 12-21.

Şişman, F. N., Kutlu, Y. (2011). Effectiveness of Nursing Care Based on Roy Adaptation Model For Development Cognitive Status of Elderly Individuals. Istanbul University, Institute of Health Science, Department of Psychiatric Nursing, Master Thesis. Istanbul.

Şişman, F.N., Kutlu, Y. (2016). Development of an Assessment Scale of Adaptation Difficulty For The Elderly (ASADE) and ıts psychometric properties. J Psy Nurs, 7(1): 25-33.

Tarsuslu Şimşek, T., Tütün Yümin, E., Sertel, M., Öztürk, A., Yümin, M. (2010). The effect of depression on life satisfaction and health related quality of life in the elderly men and women. F Ü Sağ Bil Tıp Derg, 24(3): 147-153.

Yılmaz, F., Tekin, R. N. (2017) Effects of early life factors on the health and quality of life of older adults. Psychogeriatrics, 18(1) :30-35.

Zhang, J. P., Huang, H. S., Ye, M., Zeng, H. (2008). Factors ınfluencing the subjective well being (swb) in a sample of older adults in an economically depressed area of China. Arch Gerontol Geriatr, 46(3), 335-247.

Zheleva, E. (2013). Psyho-social adaptation of the elderly. TJS, 11(3): 234-236.




How to Cite

Aşiret, G. D., & Yiğit, H. (2018). THE EFFECT OF OLDER PEOPLE’S ADAPTATION TO OLD AGE ON THEIR HEALTH-RELATED QUALITY OF LIFE. LIFE: International Journal of Health and Life-Sciences, 4(3), 14–25.